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ZipVitals

ZIP code

57536

in Harrold, South DakotaPopulation 277

56.10/ 100

Ranked #8,165 of 32,066 US ZIPs (top 25%)

Ranked #98 of 360 South Dakota ZIPs (top 27%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Broad coverage across health domains

What defines this ZIP

Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.

Walkability

0.69 intersections/sq mi

in the bottom 1.6% nationally

Higher is healthier

ST15th
US2nd
Definition & source ›

The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.

Full methodology ›

Distance to a Superfund site

156.8 mi

in the top 1.7% nationally

Higher is healthier

ST89th
US98th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.

Full methodology ›

Radon

3.4 pCi/L

in the top 5.7% nationally

Lower is healthier

ST46th
US94th
Definition & source ›

The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.

Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.

Full methodology ›

Distance to an emergency room

20.8 mi

in the top 5.0% nationally

Lower is healthier

ST88th
US95th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.

Full methodology ›

Slow internet speeds

2.2%

in the top 5.3% nationally

Lower is healthier

ST88th
US95th
Definition & source ›

The share of homes whose fastest available download speed is under 10 Mbps.

Full methodology ›

Short sleep

28.9%

in the bottom 5.5% nationally

Lower is healthier

ST35th
US5th
Definition & source ›

The estimated share of adults who usually sleep less than seven hours in a 24-hour period.

Full methodology ›

Housing-cost burden

7.5%

in the bottom 6.8% nationally

Lower is healthier

ST15th
US7th
Definition & source ›

The share of households spending 30% or more of their income on housing.

Full methodology ›

Fiber broadband

97.8%

in the top 7.0% nationally

Higher is healthier

ST52nd
US93rd
Definition & source ›

The share of homes where fiber-optic internet service is available.

Full methodology ›

Distance to a nursing home

11.1 mi

in the top 9.2% nationally

Lower is healthier

ST78th
US91st
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.

Full methodology ›

Tooth loss

8.2%

in the bottom 14.0% nationally

Lower is healthier

ST8th
US14th
Definition & source ›

The estimated share of adults aged 65 and older who have lost all of their natural teeth.

Full methodology ›

The read

By its overall health score, Harrold, South Dakota (ZIP 57536) lands in the top 25% healthiest ZIPs nationally (8,165th) and the top 27% of South Dakota (98th), based on limited data; treat as directional.

continue reading

Neither strongly one way nor the other, the measures sit mixed: distance to a Superfund site resides in the top 1.7% nationally, and modeled short sleep lands in the bottom 5.5% nationally. Housing-cost burden registers in the bottom 6.8% nationally, and fiber broadband sits in the top 7.0% nationally. Unemployment rests at the national minimum, shared with about 15% of ZIPs. Against that, walkability is in the bottom 1.6% nationally, modeled radon stands in the top 5.7% nationally, and distance to an emergency room settles in the top 5.0% nationally. Slow internet speeds lies in the top 5.3% nationally, and distance to a nursing home resides in the top 9.2% nationally.

To translate a couple of terms, distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Overall, the nearest healthier neighbor is ZIP 57501, just across the boundary.

What’s driving this score

Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts.

Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.

Compare within

Lifting this score

Chronic Disease Burden

healthier than 65%

21%

Environmental Hazard

healthier than 67%

14%

Preventive Care

healthier than 64%

13%

Risk Behavior

healthier than 77%

11%

Mental Health

healthier than 91%

8%

Disability

healthier than 65%

7%

About typical

Climate / Disaster RiskPartial

healthier than 47%

5%

Holding it back

Social Need / SDOH

healthier than 14%

16%

Healthcare Access

healthier than 12%

5%

Lifting this score

Chronic Disease Burden

healthier than 67%

21%

Environmental Hazard

healthier than 85%

14%

Risk Behavior

healthier than 84%

11%

Mental Health

healthier than 92%

8%

Disability

healthier than 62%

7%

About typical

Preventive Care

healthier than 46%

13%

Healthcare Access

healthier than 53%

5%

Holding it back

Social Need / SDOH

healthier than 15%

16%

Climate / Disaster RiskPartial

healthier than 27%

5%

“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›

Nearby & similar ZIPs

Editorially selected — see how this ZIP compares to nearby and similar places.

How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured

Evidence

Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.

Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Arthritis among adults26.8%23.8–30.0
High blood pressure among adults34.8%31.0–38.8
Cancer (non-skin) or melanoma among adults10.5%9.5–11.5
Current asthma among adults10.1%9.0–11.4
Coronary heart disease among adults7.8%7.0–8.9
Chronic obstructive pulmonary disease among adults6.2%5.3–7.3
Depression among adults18.7%15.9–21.8
Diagnosed diabetes among adults12.5%10.8–14.3
High cholesterol among adults who have ever been screened34.8%30.9–38.9
Obesity among adults33.6%26.7–41.4
Stroke among adults3.8%3.4–4.2
All teeth lost among adults aged >=65 years8.2%6.7–9.9
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years7.4%5.8–9.2
Taking medicine to control high blood pressure among adults with high blood pressure78.4%75.6–80.9
Visits to doctor for routine checkup within the past year among adults77.5%74.1–80.8
Cholesterol screening among adults87.1%85.2–88.7
Colorectal cancer screening among adults aged 45–75 years66.1%61.6–70.6
Visited dentist or dental clinic in the past year among adults70.3%67.2–73.5
Mammography use among women aged 50-74 years75.8%68.5–82.1
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults17.8%14.9–20.9
Current cigarette smoking among adults13.8%11.4–16.3
No leisure-time physical activity among adults22.3%18.5–26.6
Short sleep duration among adults28.9%23.7–34.8
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults16.2%13.8–18.8
Frequent mental distress among adults13.8%12.1–15.7
Frequent physical distress among adults12.2%10.6–13.9
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.1%10.5–14.0
Any disability among adults30.1%26.0–34.6
Hearing disability among adults9.9%8.8–11.1
Independent living disability among adults7.0%6.0–8.0
Mobility disability among adults12.9%11.1–15.0
Self-care disability among adults3.2%2.8–3.7
Vision disability among adults4.5%3.9–5.1
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)SD median (p10–p90)
Poverty rate17.3%10.6% (3.1–25.8%) n=32,3648.8% (1.1–33.5%) n=364
Uninsured 18–644.7%9.0% (1.5–24.3%) n=32,2869.6% (0.0–33.2%) n=365
No HS diploma (25+)9.7%7.9% (1.8–20.7%) n=32,5056.0% (0.8–15.3%) n=366
Bachelor's or higher (25+)28.5%23.3% (9.2–53.6%) n=32,50524.6% (10.3–40.7%) n=366
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2741.1% (0.0–8.0%) n=365
Households without a vehicle1.5%3.9% (0.0–12.5%) n=32,3221.9% (0.0–9.6%) n=364
Broadband subscription87.2%89.3% (75.1–97.1%) n=32,32287.9% (73.7–96.3%) n=364
Housing cost burden (≥30% income)7.5%23.7% (10.6–40.0%) n=32,32217.5% (5.2–30.6%) n=364
Homeownership rate58.6%78.7% (51.7–94.0%) n=32,32279.9% (57.2–94.8%) n=364
Crowded housing (>1 per room)0.0%1.3% (0.0–6.3%) n=32,3220.6% (0.0–10.2%) n=364
Foreign-born population0.4%2.6% (0.0–18.6%) n=32,5530.6% (0.0–5.3%) n=367
Single-parent households54.7%53.6% (37.3–74.1%) n=32,08756.7% (32.7–81.4%) n=362
Population 65+26.4%19.4% (10.8–33.6%) n=32,55320.3% (8.4–33.0%) n=367
Median age49.3 yr42.2 yr (33.0–56.3) n=32,29241.5 yr (27.6–56.7) n=365
Median household income$53,125$72,070 ($46,039–$118,707) n=30,318$74,865 ($51,211–$102,582) n=336
Median home value$90,000$222,200 ($100,300–$579,820) n=30,049$177,400 ($79,000–$321,400) n=311
Median gross rent$670$1,021 ($677–$1,912) n=25,670$763 ($544–$1,089) n=243
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)SD median (p10–p90)
Life expectancy at birth83.0 yr ± 2.6278.9 yr (74.7–82.8) n=31,30880.7 yr (77.4–84.2) n=357

About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 2.62 years of 83.0, and it’s very unlikely to be off by more than twice that.

More ZIPs to explore ▾

How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured